Apply for Membership

PLEASE NOTE: Only End Users are eligable to apply for membership.

To apply for Membership please complete the form below, including the CAPTCHA, and submit.

First Name: *

Last Name: *

Email Address: *

Telephone Number: *

Company you work for: *

Job Title: *

What is your employment status?: *

Directly Employed

Outsourced Resource (Supplier)

If outsourced, are your services dedicated to one company / site?: *

Dedicated to one customer

Work for a number of customers

How do you hope to benefit from the AV User Group membership?: *

CAPTCHA

This question is for testing whether you are a human visitor and to prevent automated spam submissions.

Enter the code above: *

Enter the code without spaces and pay attention to upper/lower case.